NPI 1942929245 · live from the CMS NPI Registry
Agave Psychotherapy LLC
Social Worker, Clinical in Santa Fe, NM. National Provider Identifier 1942929245, active.
NPI record
| NPI | 1942929245 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 7 Avenida Vista Grande, Santa Fe, NM 87508 |
| Practice phone | 505-421-5325 |
| Enumerated | August 22, 2022 |
| Last updated | August 22, 2022 |
| Authorized official | Elizabeth Colson, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.